Nondiscrimination Statement
Notice informing individuals about nondiscrimination and accessibility requirements of the Affordable Care Act:
Discrimination is Against the Law
Eye Consultants of Northern Virginia, PC (ECNV) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ECNV does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
ECNV provides free aids and services to people with disabilities to communicate effectively with us, such as:
- Qualified sign language interpreters
- Language services to people whose primary language is not English, such as qualified interpreters
- Information written on other languages or in other formats whenever possible
If you need these services, contact Administration.
If you believe that ECNV has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with the practice’s Civil Rights Coordinator. You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Civil Rights Coordinator is available to help you:
Administration / 8136 Old Keene Mill Road Suite B300
Tel: (703) 451-6111 #1108
You can also file a complaint with the US Department of Health and Human Services, Office for Civil Rights, electronically through the Office of Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:
US Department of Health and Human Services
200 Independence Avenue, SW / Room 509F, HHH Building
Washington, DC 20201
1-800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at: http://www.hhs.gov/ocr/office/file/index.html
